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Advice re 3rd toe swelling

Discussion in 'Foot Surgery' started by suresh, Nov 27, 2007.

  1. suresh

    suresh Active Member


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    25 year old female presenting with c/o of one month duration swelling over the
    right 3 rd toe, it was initially painful.

    non progressive in size ,no pain at present. no trauma.no fever.

    o/e, firm swelling present plantar aspect of the 3rd toe MPX region, not warm and non tender, at present asymptomatic.
    Xray 3rd toed both views normal.


    ?soft tissue lesion arising from tendon, nerve,

    how do i proceed.

    suresh
     

    Attached Files:

  2. Admin2

    Admin2 Administrator Staff Member

  3. drsarbes

    drsarbes Well-Known Member

    Hi Surish:

    If the xrays are normal and assuming her history is accurate, I would suggest DD: Psoriatic arthritis, Acute tenosynovitis, ganglion, soft tissue mass, acute arthritic flareup other than psoriatic.

    The picture you sent, although psoriatic classically effect the DIPJ, looks like several psoriatic toes that I've seen. I've had 3 young female patients in recent memory with soft tissue swelling very similar to your photo, non with any Hx of psorisis, all coming back from RA consult with a Dx of psoriatic arthritis.

    Let us know
    Steve
     
  4. suresh

    suresh Active Member

    now i remeber that she gave history of using tight show for a period of time and discontinued because of pain, is that related tho that?
     
  5. Q_Boyd

    Q_Boyd Welcome New Poster

    Perhaps aspiration would not be a bad idea even if it yields nothing.
     
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